Individual
JACQUELYNN SUSAN MCGUINNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
(704) 783-1782
Mailing address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
(704) 783-1782
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
187258
NC
363LN0000X
Neonatal Nurse Practitioner
ARNP2780762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303516600
—
FL
Enumeration date
12/21/2005
Last updated
07/23/2008
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